Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2018-07-26-3

Project Information

Project IdentifiersProject ID: 212562
DEA: 024G5504
EFIS: 0214000036
DIST-CO-RTE-PM02-SIS-5-2.7/R11.4
Award Date03/12/2018
Closeout Date10/05/2020
Work DescriptionRECONSTRUCT WITH HMA AND PCC, WIDEN STRUCTURE AND UPGRADE RAILS
Location DescriptionSISKIYOU COUNTY IN AND NEAR DUNSMUIR FROM SACRAMENTO RIVER BRIDGE TO 0.6 MILE SOUTH OF NORTH MOUNT SHASTA UNDERPASS
QA Service Level1 (Verified on 04/04/2018)

Sample Information

Sample Taken Date07/26/2018 Sample Unique Key3
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing07/26/2018
Sample typeQuality Assurance A brief description of the sampleLoose Tie Bars
The quantity of what the sample constitutes1700 From where was the sample collectedFabricator
First name of sampler or witnessed bySherri Last name of sampler or witnessed byBrannon
Title of samplerQA Inspector Telephone number of sampler7077918219
Laboratory sample identificationUnknown Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameJC Supply Manufacturing Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormL48-064-18 Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeSMTL TM7 - Epoxy Coated Rebar Rebar Heat Number(s)PL16206939
Rebar Epoxy Batch Number(s)8496026962 Rebar Coating SpecificationASTM A934
Rebar Size (#)6 Rebar Coating ColorPurple
Rebar ManufacturerNucor Rebar CoaterJC Supply And Manufacturing
Rebar Powder ManufacturerValspar Release NumberUnknown
Quality Assurance CodeUnknown

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
2018-07-26-3-1ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Epoxy-Coating)Brian Ewing, CT HQ - Sacramento Structural Materials Testing Laboratory08/08/2018Brian Ewing
Yes
08/15/2018
2018-07-26-3-2ASTM A934-13: Standard Specification for Epoxy-Coated Prefabricated Steel Reinforcing Bars (Holiday Bend)Brian Ewing, CT HQ - Sacramento Structural Materials Testing Laboratory08/08/2018Brian Ewing
Yes
08/15/2018

Sample File Attachments

File NameExtensionDate UploadedActions
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Test File Attachments


DIME Test ID: 2018-07-26-3-1 ASTM A934-13 (Verified)
DIME Test ID: 2018-07-26-3-2 ASTM A934-13 (Verified)